Active NPI
Matthew Laumbach, MPAS PA-C
- Physician Assistant
- Portales, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2013-0063
- Practice address
- 42121 US Highway 70
Portales, NM 88130-9054 - Phone
- (575) 356-6652
- Fax
- (575) 359-6827
- NPI assigned
- Nov 22, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2013-0063 | NM | Primary |
Addresses
Primary practice location
42121 US Highway 70
Portales, NM 88130-9054
Mailing address
PO Box 299
Portales, NM 88130-0299
Phone (575) 356-6652
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
42121 US Hwy 70
Portales, NM 88130-9054
Phone (575) 356-6652
Hospital & facility affiliations
- Excelacare Home Health
- Excelacare Home Health
- Roosevelt General Hospital
- Plains Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.52 of 100
- Quality
- 87.98
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2013-0063 | NM | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Roosevelt County Special Hospital District | Current | Accepting new patients | |
| Roosevelt County Special Hospital District | Past | Accepting new patients |
Locations
8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200
1648 Alameda Blvd NW
Albuquerque, NM 87114
Phone (505) 585-0085
2100 N Mlk Blvd
Clovis, NM 88101
Phone (505) 769-2141
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
1010 Spruce St
Espanola, NM 87532
Phone (505) 367-0340
42121 US Highway 70
Portales, NM 88130
Phone (505) 226-3627
211 Sudderth Dr
Ruidoso, NM 88345
Phone (505) 257-7381
1202 Highway 60
Socorro, NM 87801
Phone (505) 835-1140
301 E Miel de Luna Ave
Tucumcari, NM 88401
Phone (575) 461-7000
Interoperability endpoints
- matthewlaumbach@rghnm.medalliesdirect.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Portales, NM
- NPI 1073517058
-
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Rural Acute Care Hospital
- Clovis, NM
- NPI 1629053509
-
- Rural Health Clinic/Center
- Clovis, NM
- NPI 1578639662
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Clovis, NM
- NPI 1134174063
-
- Home Health Agency
- Las Cruces, NM
- NPI 1528386513
-
- Rural Acute Care Hospital
- Clovis, NM
- NPI 1629053509
-
- General Acute Care Hospital
- Portales, NM
- NPI 1073517058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1457781759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 299",
"city": "PORTALES",
"state": "NM",
"postal_code": "881300299",
"telephone_number": "575-356-6652",
"fax_number": "575-359-6827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42121 US HIGHWAY 70",
"city": "PORTALES",
"state": "NM",
"postal_code": "881309054",
"telephone_number": "575-356-6652",
"fax_number": "575-359-6827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUMBACH",
"first_name": "MATTHEW",
"credential": "MPAS PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-22",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NM",
"license": "PA2013-0063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portales, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.